Fetal care centers (FCCs) in the U.S. lack a standardized instrument to measure person-centered care. This study aimed to develop and validate the Person-Centered Care in Fetal Care Centers (PCC-FCC) Scale. Initial items were developed based on literature and input from…

Limited health literacy is associated with increased hospitalizations, emergency visits, health care costs, and mortality. The health literacy levels of caregivers of critically ill children are unknown. This mixed-methods study aims to quantitatively assess the health literacy of…

Health-related social needs (HRSNs) are associated with poor and disparate child health outcomes, decreased access to preventive care, and increased acute care utilization. There is, therefore, growing momentum around addressing HRSNs through social care integration in pediatric health…

The Coronavirus Disease 2019 pandemic disrupted healthcare, but the impact on vaccination missed opportunities (MOs, vaccine-eligible visits without vaccination) is unknown. We evaluated pandemic-related trends in MOs at adolescent well-care visits for three vaccines: human…

The words used to describe patients have the power to influence their care. “No-show” is shorthand for a patient missing an appointment without alerting the health care team. This term has its contextual root in business, in which a customer’s failure to attend an appointment can be…

Diagnostic excellence is an important domain of healthcare quality. Delays in diagnosis have been described in 20-30% of children with abusive injuries. Despite the well characterized epidemiology, improvement strategies remain elusive. We sought to assess the applicability of…

In the United States, caregivers of children and youth with special healthcare needs (CYSHCN) must navigate complex, inefficient health care and insurance systems to access medical care. We assessed for sociodemographic inequities in time spent coordinating care for CYSHCN and examined…

Although pediatricians are primary care providers for most adolescents, pediatric residents receive limited training on long-acting reversible contraceptive (LARC) methods. This study aimed to characterize pediatric resident comfort with placing contraceptive implants and intrauterine…

Many children admitted to the hospital remain hospitalized far longer than anticipated. In some cases, illness acuity or delays in inpatient medical care prolong hospitalization. For other children, however, delays in transitioning to home and community-based resources prevent timely…

Clinical decision support (CDS) is a promising intervention for improving uptake of HIV testing and pre-exposure prophylaxis (PrEP). However, little is known regarding provider perspectives on acceptability, appropriateness, and feasibility of CDS for HIV prevention in pediatric…